排版后论文李宁 毕业论文.doc

提 要 目的关键词　 Wire rings with bone graft plunge all-sides limbs internal fixation for LCP long tube bone fracture healing Speciality: Orthopaedics of TCM Author: Li Ning Tutor: Prof.Wang Abstract Objective:Explore therapy limbs long bone fracture nonunion of surgery improvement methods and results. Methods:This study cases from shandong university of traditional Chinese medicine hospital orthopedic ward, the selection of 2009 May to December 2010 between limbs long bone fracture nonunion patients 20 cases, all use surgical treatment, to autogenous iliac grafts, line wire loop pierced comprehensive bone graft fixation with LCP afresh, male, female 14 cases in 6 cases. One humerus backbone nonunion in 5 cases, femur in 6 cases, tibial dry 9 cases.Results:20 cases were followed up time get 3 ~ 12 months, according to the bone healing and functional recovery double evaluation diagnostic criteria, treatment since fitting bone is not even bone healing rate 100%, dykes 95%, functional recovery 96.5%, fracture dykes average healing time 4 ~ 6 months, X-ray showed good, no bone graft fusion altitude and reset lost, function recovered well.Conclusion:Wire rings with bone graft plunge all-sides pressurized locking plate (LCP) and internal fixation is the treatment of bone fractures limbs long tube dont heal, an effective method of definite effect. Key words Many-side grafts Limbs long tube bone healing Bone is not even Treatment 目 录 引 言 1 资料与方法 2 一、 临床资料 2 （一）病例来源 2 （二）采集时间 2 （三）病例选择： 2 （四）观察组一般资料 3 二、 手术方法 3 （一）术前准备 3 （二）手术方法 3 三、疗效评价 6 （一）骨愈合评价标准 7 （二）功能评价标准 7 四、研究结果 7 （一）骨愈合评价 8 （二）上肢功能评价 8 （三）下肢功能评价 8 （四）术前感染情况与预后 9 讨 论 10 结 语 13 参考文献 14 综 述 15 附 录 21 致 谢 23 引 言 骨折不愈合是骨科临床常见病症，其中以四肢长管骨多发，例如胫骨干，股骨干，肱骨干等，针对四肢长管骨骨折不愈合二次手术我院多才用植骨术配合LCP重新内固定。植骨术是治疗骨折不愈合的重要方法,其机制是爬行替代提供的支架作用与矿物质补充作用,使断端愈合。骨折断端爬行替代能够顺利进行要求准确的复位、充分的植骨和坚强的内固定。自体髂骨作为植骨材料具有较多的优点：如取材简单、组织相容性好、无移植排斥反应、骨诱导作用性强等，这些优点使髂骨成为一种最佳的植骨供材，在临床上已形成共识[1]。为达到充分的植骨，促进骨折愈合，我们采用髓内外多方位植骨的方法，外用钢丝环扎，配合